Hindi & Indian Heritage Culture Camp

Registration for Indian Heritage Culture Camp 2024

student first name *

student last name *

date of birth *

grade in fall 2023 *

telephone *

gender *

male female

Address *

city *

state *

zip *

email * - Use separate e-mails for each child

Knowledge of Hindi - Speaking *

Knowledge of Hindi - Understanding *

Knowledge of Hindi - Script *

Knowledge of Hindi - Reading *

Did you attend any Summer Camp last year or earlier? *

yes no

Mother's First Name *

Mother's Last Name *

Mother's Cell Number *

Mother's Email *

father's First Name *

father's Last Name *

father's Cell Number *

father's Email *

Emergency Contact Name *

I/We acknowledge that I/we have been advised to make sure that my/our child is physically and mentally fit to participate in various activities of Indian Heritage Culture Camp.

Note: After filling this form, please send signed Registration Form to: Indian Heritage Culture Camp, 203 Cheltenham Lane Munroe Falls, Ohio 44262. The registration fee of $400.00 is non-refundable.